Postpartum depression: Prevalence and determinants in Lebanon

被引：145

作者：

Chaaya M. ^{[1
]}

Campbell O.M.R. ^{[2
]}

El Kak F. ^{[1
]}

Shaar D. ^{[1
]}

Harb H. ^{[1
]}

Kaddour A. ^{[1
]}

机构：

[1] Faculty of Health Sciences, American University of Beirut

[2] London School of Hygiene and Tropical Medicine, London

来源：

Archives of Women's Mental Health | 2002年 / 5卷 / 2期

关键词：

Obstetric factors; Postpartum depression; Psychosocial factors; Type of delivery;

D O I：

10.1007/s00737-002-0140-8

中图分类号：

学科分类号：

摘要：

This study assesses the prevalence and determinants of postpartum depression (PPD). 396 women delivering in Beirut and a rural area (Beka'a Valley) were interviewed 24 hours and 3-5 months after delivery. During the latter visit, they were screened using the Edinburgh postnatal depression scale. The overall prevalence of PPD was 21% but was significantly lower in Beirut than the Beka'a Valley (16% vs. 26%). Lack of social support and prenatal depression were significantly associated with PPD in both areas, whereas stressful life events, lifetime depression, vaginal delivery, little education, unemployment, and chronic health problems were significantly related to PPD in one of the areas. Prenatal depression and more than one chronic health problem increased significantly the risk of PPD. Caesarean section decreased the risk of PPD, particularly in Beirut but also in the Beka'a Valley. Caregivers should use pre- and postnatal assessments to identify and address women at risk of PPD.

引用

页码：65 / 72

页数：7

共 38 条

[21] Kabakian-Khasholian T., Campbell O., Shediac-Rizkallah M., Ghorayeb F., Women's experiences of maternity care: Satisfaction or passivity?, Soc Sci Med, 51, pp. 103-113, (2000)
[22] Khayat R., Campbell O.M.R., Hospital practices im maternity wards in Lebanon, Health Policy Plan, 15, 3, pp. 270-278, (2000)
[23] Kumar R., Robson K.M., A prospective study of emotional disorders in childbearing women, Br J Psychiatry, 144, pp. 35-47, (1984)
[24] Lane A., Keville R., Morris M., Kinsella A., Turner M., Barry S., Postnatal depression and elation among mothers and their partners: Prevalence and predictors, Br J Psychiatry, 171, pp. 550-555, (1997)
[25] Mrazek P.J., Haggarty R.J., Reducing Risks for Mental Disorders: Frontiers for Preventive Intervention Research, (1994)
[26] Murray L., Fiori-Cowley A., Hooper R., Cooper P., The impact of postnatal depression and associated adversity on early mother-infant interactions and later infant outcome, Child Dev, 67, pp. 2512-2526, (1996)
[27] Mutryn C.S., Psychosocial impact of cesarean section on the family: A literature review, Soc Sci Med, 37, 10, pp. 1271-1281, (1993)
[28] O'Hara M.W., Zekoski E.M., Philipps L.H., Wright E.J., Controlled prospective study of mood disorders: Comparison of childbearing and nonchildbearing women, J Abnorm Psychol, 99, pp. 3-15, (1990)
[29] Paykel E.S., Emms E.S., Fletcher J., Rassaby E.S., Life events and social support in puerperal depression, Br J Psychiatry, 136, pp. 339-346, (1980)
[30] Reichert J.A., Baron M., Fawcett J., Changes in attitudes toward cesarean birth, J Obstet Gynecol Neonatal Nurs, 22, 2, pp. 159-167, (1993)

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